Active NPI
Community Loving Care Hospice, L.L.C.
- Community Based Hospice Care Agency
- Wentzville, MO
National Provider Identifier
1245276781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- COMMUNITY LOVING CARE HOSPICE, L.L.C.
- Practice address
- 251 E Pearce Blvd
Wentzville, MO 63385-1529 - Phone
- (636) 639-6280
- Fax
- (636) 639-6317
- NPI assigned
- Jun 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Wayne Larry Dandridge
- Title
- Chief Operating Manager
- Phone
- (636) 639-6280
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | MO | Primary |
Addresses
Primary practice location
251 E Pearce Blvd
Wentzville, MO 63385-1529
Mailing address
251 E Pearce Blvd
Wentzville, MO 63385-1529
Phone (636) 639-6280
National Provider Directory
National Provider Directory- Tax ID family
- Community Loving Care Hospice
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community Based Hospice Care Agency
- Wentzville, MO
- NPI 1417252529
Locations
914 W Main St
Bowling Green, MO 63334
Phone (573) 324-9828
251 E Pearce Blvd
Wentzville, MO 63385
Phone (636) 639-6280
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1245276781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 E PEARCE BLVD",
"city": "WENTZVILLE",
"state": "MO",
"postal_code": "633851529",
"telephone_number": "636-639-6280",
"fax_number": "636-639-6317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 E PEARCE BLVD",
"city": "WENTZVILLE",
"state": "MO",
"postal_code": "633851529",
"telephone_number": "636-639-6280",
"fax_number": "636-639-6317"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY LOVING CARE HOSPICE, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DANDRIDGE",
"authorized_official_first_name": "WAYNE",
"authorized_official_middle_name": "LARRY",
"authorized_official_title_or_position": "CHIEF OPERATING MANAGER",
"authorized_official_telephone_number": "636-639-6280",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "MO",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wentzville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.